PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31780 - RCR s.35(2)(a) - A licensee must ensure that laundry facilities (a) if used by persons in care, have a slip resistant floor surface.
Observation: The laundry area does not have a slip resistant flooring surface and 1 PIC has access to laundry facilities and is assists with the laundry.
Corrective Action(s): Please ensure that the laundry area has a slip resistant flooring surface.
Date to be Corrected: November 15, 2021
STAFFING: 32100 - RCR s.40(1)(a) - A licensee must ensure that the performance of each employee is reviewed both regularly and as directed by the medical health officer under subsection 40(2) to ensure that the employee (a) continues to meet the requirements of this regulation.
Observation: Staff records provided showed 1 staff had last performance review was completed on September 13, 2018.
Corrective Action(s): Please ensure that the performance of each staff is reviewed as per the facility policy.
Date to be Corrected: November 15, 2021
CARE AND/OR SUPERVISION: 34750 - RCR s.81(4)(b)(i) - A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care.
Observation: 1/4 PIC's care plan did not include the latest meal time assist instructions from the last assessment for the PIC . Staff assisting with this inspection informed LO that the instructions were posted on the kitchen cabinet but has been removed by someone.
Corrective Action(s): Please ensure that each care plan is reviewed annually and modified with any substantial change in the circumstances of the PIC.
Date to be Corrected: November 15, 2021
NUTRITION AND FOOD SERVICES: 37030 - RCR s.62(2)(a) - A licensee must ensure that each menu provides (a) for each day, a nutritious morning, noon and evening meal, with each meal containing at least 3 food groups as described in Canada's Food Guide.
Observation: The daily lunch menu for the week days had no clear indication of what items are being served during each lunch and there was no menu list for the weekends There was no indication these meals contained at least 3 food groups.
Corrective Action(s): Please ensure that each menu for each day clearly identifies morning, noon and evening meal with each meal containing at least 3 food groups as described in Canada's Food Guide.
Date to be Corrected:
November 15, 2021
NUTRITION AND FOOD SERVICES: 37040 - RCR s.62(2)(b) - A licensee must ensure that each menu provides (b) for each day, at least 2 nutritious snacks, with each snack containing at least 2 food groups as described in Canada's Food Guide.
Observation: The facility menu did not list any snack provided to PICs however, there was fruits and yogurt available in the kitchen. The staff presented stated that snacks were provided to PICs. Hence, it could not be determined during the inspection if snacks served to PICs were from 2 food groups.
Corrective Action(s): Please ensure that each weeks' menu has at least 2 nutritious snacks listed appropriately, with each snack containing at least 2 food groups.
Date to be Corrected: November 15, 2021
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